Provider Demographics
NPI:1295506665
Name:COZY COTTAGE SENIOR LIVING LLC
Entity type:Organization
Organization Name:COZY COTTAGE SENIOR LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:316-992-9187
Mailing Address - Street 1:7829 E ROCKHILL ST STE 402
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3915
Mailing Address - Country:US
Mailing Address - Phone:316-992-9187
Mailing Address - Fax:
Practice Address - Street 1:7829 E ROCKHILL ST STE 402
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3915
Practice Address - Country:US
Practice Address - Phone:316-992-9187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility